Combined bipolar dual chamber pacing and automatic implantable cardioverter/defibrillator

A 67 year old man with recurrent hypotensive ventricular tachycardia, amiodarone-induced bradyarrhythmias and severe cardiac dysfunction underwent simultaneous implantation of an automatic cardioverter/defibrillator and bipolar atrioventricular (AV) pacemaker. The pacing electrodes were placed epica...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 1986-04, Vol.7 (4), p.933-937
Main Authors: Ruffy, Rodolphe, Lal, Roop, Kouchoukos, Nicholas T., Kim, Sung Soon
Format: Article
Language:English
Subjects:
Aged
Amiodarone - adverse effects
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bradycardia - chemically induced
Bradycardia - therapy
Cardiac Pacing, Artificial
Electric Countershock
Electrodes, Implanted
Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care
Heart Ventricles
Hemodynamics
Humans
Intensive care medicine
Male
Medical sciences
Pacemaker, Artificial
Tachycardia - physiopathology
Tachycardia - therapy
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Summary:A 67 year old man with recurrent hypotensive ventricular tachycardia, amiodarone-induced bradyarrhythmias and severe cardiac dysfunction underwent simultaneous implantation of an automatic cardioverter/defibrillator and bipolar atrioventricular (AV) pacemaker. The pacing electrodes were placed epicardially near the right atrial appendage and on the lateral right ventricular wall. The rate detector of the automatic defibrillator was placed epicardially on the posterobasal left ventricular wall. Effective bipolarAVpacing produced no false counting of the heart rate by the automatic cardioverter/defibrillator, and ventricular tachycardia properly inhibited the pacemaker. Long-term follow-up study confirmed the safety -of this treatment. With proper precautions, bipolar AV pacing can be safely combined with an automatic cardioverter/defibrillator.
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(86)80359-X